chapter 3 dmims by ER5KhU5h

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									                               CHAPTER III
                         RESULTS AND DISCUSSION



Current Operations


       The project, Drugs and Medicines Inventory and Monitoring System for

Benguet District Hospitals, is comprised of five district hospitals namely Abatan

Emergency Hospital, Atok District Hospital, Dennis Molintas Memorial Hospital,

Itogon Municipal Hospital, and Kapangan Medicare Community Hospital. They

are under the Provincial Health Office (PHO) department of the Benguet province

which monitors the operation of all District Hospitals, review, analyze and

consolidate reports submitted by the district hospitals for submission to the Office

of the Governor, CHD – CAR and other offices.


Procurement


       Procurement is one of the essential processes of the Benguet district

hospitals. It is an act of purchasing drugs and medicines. Through this process, the

hospital is able to obtain stocks which are the input for the inventory. If there is

no procurement, there will be no stocks. Thus, there would be no process of

inventory that will occur. The PHO is responsible in the purchasing of the drugs

or medicines.


       The process in which procurement is done is as follows:


           1. The end-user (PHO/ district hospitals) identifies the fast moving

                and regular drugs and medicines on the ASPP or Annual Supply
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   Procurement Plan. ASPP is the list of supply needed for the

   incoming year. It is based on the preferences of the Physicians and

   Pharmacists, unfilled prescriptions and the consumption of

   previous year. It is submitted to the Provincial Therapeutic

   Committee (PTC).

2. The PTC consolidates the list of fast moving and regular drugs and

   medicines. After consolidation, it is forwarded to the Bids and

   Awards Committee (BAC) for review and evaluation.

3. After it was reviewed and consolidated, the ASPP or the

   Consolidated Purchase Request is submitted to the Provincial

   Governors Office (PGO). The governor will either approve or

   disapprove the ASPP. He will disapprove it if the proposed budget

   indicated in the ASPP is higher than the allotted or approved

   budget. If the proposed budget is low, it will be approved and the

   excess will go back to the Revolving Fund of the district hospitals

   and is given to the hospitals that need more budgets. It will be

   approved if the proposed budget is not higher than the allotted

   budget.

4. The Provincial Government will post criteria on the procedures

   and the qualifications of a bidder for the drugs and medicines. If

   there are qualified bidders, the bidders will wait for the schedule of

   bidding. If there are less than two bidders, they will proceed to

   shopping.
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            5. The Bids and Awards Committee (BAC) issues the Notice of

                 Awards to the bidders who won the bidding. The Provincial

                 General Services Office prepares the Purchase Order. It is then

                 submitted to the PHO.

            6. The PHO prepares the Trust Fund Utilization Slip. It is submitted

                 to the Provincial Accounting Office (PAO) to certify that funds

                 were earmarked for the purpose as indicated, and then it will be

                 submitted to the PGO for the approval of the Purchase Order.

            7.   After it is approved, the PGSO serves the Purchase Order to the

                 bidders who won. The PHO will receive the receipt of stocks or

                 Inspection – Preparation of vouchers for payment of stocks

                 delivered. If the winning bidders failed to comply with the one

                 month deadline of delivery of the stocks, the next qualified bidder

                 will be the one to supply.

            8. The PHO will issue the stocks to the District Hospitals upon

                 request. The end-user prepares the vouchers and documents for

                 payment of stocks to replenish the Revolving Fund.


Inventory


       Drugs and Medicines inventory is done to check drug availability and to

ensure easy access on other drug features. It is the basis of ASPP for the next

year. Drugs and medicines are stored in five storage areas namely Stock Room,
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which is the main storage area, Dispensary, Out-Patient Department (OPD)

cabinet, Emergency Room (ER) cabinet, and the Delivery Room cabinet.


The process in which inventory is done is as follows:


       1. Each kind of drug or medicine has its own stock card where every

           disposed drug or medicine is tallied manually per unit. It is done by the

           Pharmacist. Every time a certain drug or medicine is brought out from

           the pharmacy or stock rooms, it will be tallied on the stock card.

       2. The pharmacist usually does the inventory every end of the month,

           basing it from the stock cards. Random inventory is also done if the

           pharmacist observed that there is a need to conduct an inventory on a

           certain drug or medicine, it is usually done anytime because of some

           discrepancy of information regarding that drug or medicine.

              a) Monthly Inventory – The remaining supplies in every stock

                  room is determined by summarizing the contents of the stock

                  card. The summarized contents will be used in the Monthly

                  Inventory Report.

              b) Random Inventory – A physical count is conducted randomly

                  on a certain drug in the stock rooms.

       3. The information from the stock card is summarized in the Monthly

           Inventory recording sheet. From the recording sheet, the information is

           transferred by the pharmacist to a spreadsheet which will serve as the

           inventory report for the month.
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4. The monthly inventory report made by the Pharmacist will be

   submitted to the Medical Officer IV. The Medical Officer IV signs the

   monthly inventory.

5. Finally, the monthly inventory report will be submitted to the

   Provincial Accounting Office.
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Monitoring




District Hospitals


       Monitoring is done in order to determine the availability of a drug or

medicine. If there is an excess of stock, they may transfer it to a certain hospital

that is in need of the certain drug or medicine. If incase that they are out of stock,
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they can request from the PHO if the certain drug or medicine is available. If it is

not available at the PHO, they may borrow from other district hospitals if such

drug or medicine is available. If there is still no availability of such drug or

medicine, their last option would be Emergency Purchase.

       Monitoring is also done to monitor the expiration date of a certain drug or

medicine. It is also done for the pharmacist to know the current consumption of

indicator drugs. The result of the information compiled for the current indicator

drugs would be passed to the PHO and forwarded to the JICA (Japan International

Cooperation Agency) for further study of the experimental system they might

impose as a system of inventory.


       The process in which monitoring is done as follows:


       1. If a drug or medicine is near to its expiration date, the pharmacist

            would separate it from all the stock rooms.

       2.   After which, the pharmacist will be going to classify it as either fast-

            moving or slow-moving drug or medicine.

       3. In this phase, the fast-moving drug or medicine should have three

            months before its expiration date while slow- moving drug or medicine

            should have at least six months before expiration date.

       4. After classifying the fast-moving and slow-moving drug or medicine,

            the pharmacist would either push or transfer the medicine.

       5. The pharmacist will push the drug or medicine to the doctor so that it

            will be the one to be consumed immediately but if the drug or
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   medicine can’t be pushed because there is no patient that needs the

   drug or medicine, the drug or medicine will be transferred to other

   district hospitals that need it.

6. If the drug or medicine is not pushed nor transferred and it expired, it

   would be transferred or turned over to the PHO for proper disposal.
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